Active NPI
John Douglas Richards
- Hearing Instrument Specialist
- Lodi, CA
National Provider Identifier
1710088307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- HA3625
- Practice address
- 714 W Lodi Ave
Lodi, CA 95240-3429 - Phone
- (209) 333-0338
- Fax
- (209) 333-2139
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | HA3625 | CA | Primary |
Addresses
Primary practice location
714 W Lodi Ave
Lodi, CA 95240-3429
Mailing address
714 W Lodi Ave
Lodi, CA 95240-3429
Phone (209) 327-8677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HA0036250 | Other | CA | MEDI-CAL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HA3625 | CA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1710088307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 W LODI AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952403429",
"telephone_number": "209-327-8677",
"fax_number": "209-333-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 W LODI AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952403429",
"telephone_number": "209-333-0338",
"fax_number": "209-333-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "CA",
"license": "HA3625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER #",
"identifier": "HA0036250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.